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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREET NE <br /> SALEM1 OREGON 97301 <br /> <br /> PHONE; 588-5147 8:00 - 4:30 <br />24. HOUR' CODE-A-PHONE: 588-7904 <br /> <br />I am performing work on ~ property I own or occupy. <br />i am a recJister~d builder OR ( I the authorized reBteserltative <br />of a registered builder, <br />The work will be performed by a registered builder. <br />Other ,, <br />I have reod 8nd agree [o the terms stated on the reverse side <br />tFus document. <br /> <br />$1~NATURB OF APF*LJCANT: <br /> <br />owuf~TE: 0~,/19/91 <br /> <br />SITUS ~Drmss~IARRIS' HOWARD <br /> <br /> 205 2N0 s'r <br /> AUCcI~Vi LLE <br />USE OF BUILDING: <br /> <br />TiME; 14:43:50 <br /> <br /> ' ' RESI BEN'f,tAi <br /> <br /> ~ ¢,OCCUPANT LOAD: <br /> OR 97225 ' ' <br /> <br /> PO BOX 752 <br /> AUFCSV[ LLE OR 9'/325 <br /> PHONE.* 7~.9-3725 <br /> <br />LOT: BLOCK. <br /> <br /> SiTE NL~IBER: 12785 <br />SECTION: TOWNSHIR: , , <br /> <br /> NO .~ NO <br /> <br />TYPE: MECHA4NICAL PERMIT OR APPLICATION NO; <br /> <br />CONTRAC'I'OR, NO. <br />HARRIS, HO~,RD <br />PO BOX ?52 <br />AUtc~VILLE OR 9?325 <br />PHONE: 7~9-3726 <br /> <br /> l'rE~ <br />~ CO~INECTiON <br />FORICAiR P~RN 100000 BTU OR Lll~ <br />MECHANICAL BASE FEE <br />MECHANICAL STATE,!SURCHARGE <br /> <br />PAYEE: HARRi~, HOWARD <br /> <br />31677 <br /> <br />TOTAL AS4srcT&~60 FEE:ii <br />PREVIOU$:RECEIPT~ <br />TH[$P..~CEIP'r <br /> <br />QUANT i I'Y AMDUNT <br /> <br /> 1 . <br /> $10.00 <br /> $0.90 <br /> <br />$0.00 <br /> <br />BALANCE ~IJE $0.00 <br /> <br />INVOICE NO: 33453 <br /> <br /> RECEIVED BY: PB TYPE: CA CHECK ~t 0 <br /> <br />* THI~ ,IS A VAL,ID PERI~,IT * THZ~ ~IT EXP,IRES 1811 DAY~ Pl~ iTS i~IJE DATE. IF <br />t::O~,',~TRUCTI(~I ~ FOR A PERIOD OF 180 DAY'S, OR IF C(]I'~STRUCTION FAll..,~ TO Iv~._ET ALL <br />IRE(]UiREI~T$ OF STATE ~ AND ~IQN O3UNTY B1JiLDINGI AND ZONiN~ ORDI~E~,, THI~ PERNIIT <br />~-IAI..L BEiC(~E NULL AND VOID. <br /> <br />RE~tARKS: GA,~ PURN R:F;5363 <br />DONALD E. {NOODLEY, fft~R[ON COUNTY BU[LD],NG OFFIC],AL. / BY ............................ ~ .................................................... <br /> <br />FORM # MC 15-56 REV. 4/90 OF FiCE COPY <br /> <br /> <br />